Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 2015027919 | MO |
N | 208000000X | Pediatrician | MD-47398 | IA |
Y | 2080P0202X | Pediatric Cardiologist | MD-47398 | IA |
N | 2080P0204X | Pediatric Emergency Doctor | 2015027919 | MO |
NPI | 1265797518 |
---|---|
Provider Name | Dr. Rabia S Khan |
First Address | Iowa City, IA 52242-1009 |
Second Address | Iowa City, IA 52242-1009 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2012 |
Last Update Date | 31/07/2020 |